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Missouri rates for HCPCS A4315

Insertion tray with drainage bag with indwelling catheter, Foley type, two-way, all silicone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.79 / $25.71 / $43.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.79 / $20.70 / $40.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $16.63 / $29.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $22.13 / $22.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $18.80 / $23.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $33.17 / $165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.95 / $18.38 / $44.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $18.35 / $26.58